孙呈祥教授治疗膝关节骨性关节炎经验介绍

Professor Sun Chengxiang's experience on the treatment of knee osteoarthritis

膝关节骨性关节炎属于中医"膝痹病"的范畴,病情复杂,病程较长,虚实夹杂,治疗难度较大。孙呈祥教授认为,其基本病机为风寒湿邪痹阻经络、气滞血瘀,病程日久则肝肾亏虚、气血不足,本虚标实是其发病的特点。临床应注重病机、精于辨证,补虚祛邪、辨证施药,或重在补虚,或重在祛邪,治疗以自拟方黄芪三仙汤、三虫鸡血藤汤、红萆甘草汤与传统成方相结合,内外兼治,共奏其效。

Knee osteoarthritis belongs to＂Knee-Bi disease＂of Chinese medicine,which has long course and complicated condition,and difficult to cure. Professor SUN Chengxiang believes that the basic pathogenesis is pathogenic wind-cold-dampness blocking meridians and collaterals,which induces qi deficiency and blood stasis. Deficiency of liver and kidney,and deficiency of qi and blood is shown if the disease lasts for a long time. The pathogenesis is deficient root and excessive superficial. In clinic,doctors should pay attention to the pathogenesis and syndrome differentiation,tonifying the deficiency and dispelling the exogenous,prescripted based on syndrome differentiation. Self-prescripted formulas,such as Huangqi Sanxian Decoction,Sanchong Jixueteng Decoction,Hongbi Gancao Decoction,combing traditional patent medicines has good effect.